妇科恶性肿瘤术后幸存者性功能症状群与应对方式的相关性研究

Study on the Correlation between Sexual Function Symptom Clusters and Coping Style in Postoperative Gynecological Malignant Tumor Survivors

目的:探讨妇科恶性肿瘤术后幸存者性功能症状群与应对方式现状,并分析二者之间的相关性。方法:应用一般资料问卷、安德森症状评估量表(MDASI)、中文版女性性功能量表(FSFI)、医学应对方式问卷(MCMQ),对新疆维吾尔自治区某三级甲等肿瘤专科医院120例妇科恶性肿瘤术后幸存者进行调查。结果:120例妇科恶性肿瘤术后幸存者患者存在5个症状群即情绪症状群、疲乏–疼痛症状群、消化道症状群、神经毒性症状群、性功能症状群;患者应对方式得分为(44.13 &#177;5.13)分;性功能症状群包括:性心理异常、性欲低下、性交痛;Pearson相关分析结果显示,应对方式的面对维度与患者性功能症状群得分呈负相关,回避及屈服维度与患者性功能症状群得分呈不同程度的正相关(P < 0.05)。结论:妇科恶性肿瘤术后幸存者性生活受到多个症状的困扰,患者应对方式与性功能症状群具有相关性,医护人员应探索一个高效的以满足患者需求的性症状群管理模式,以改善患者的症状体验,提高患者的生活质量。

Objective: To investigate the status of sexual function symptom group and coping style in postoperative gynecological malignant tumor survivors, and to analyze the correlation between them. Methods: A total of 120 patients with gynecological malig-nancy after surgery were investigated by using general data questionnaire, Anderson Symptom Assessment Scale (MDASI), Chinese version of female sexual function (FSFI), and medical coping style questionnaire (MCMQ). Results: There were 5 symptom groups in 120 patients with gyneco-logical malignant tumor after operation, namely emotional symptom group, fatigue and pain symp-tom group, digestive tract symptom group, neurotoxicity symptom group, sexual function symptom group. The coping style score of patients was (44.13 &#177;5.13) points. Symptoms of sexual function in-clude: psychosexual abnormality, low sexual desire, painful intercourse;Pearson correlation analy-sis results showed that the face dimension of coping style was negatively correlated with the scores of patients’ sexual function symptom group, while the avoidance dimension and yield dimension were positively correlated with the scores of patients’ sexual function symptom group to different degrees (P < 0.05). Conclusion: Postoperative gynecological malignant tumor survivors are troubled by multiple symptoms in their sexual life, and patients’ coping styles are correlated with sexual function symptom groups. Medical staff should explore an efficient symptom management mode to improve patients’ symptom experience and improve the quality of life of patients.